CHAPTER 1 PART 1

CHAPTER 1 Parts 1, 2, and 3 Write the letter of the best answer in the space provided. ______1. The National Standard Curriculum for paramedic training is published by the: A. National Registry of EMTs. B. U.S. Department of Transportation. C. National Association of State EMS Training Coordinators. D. U.S. Department of Health, Education, and Welfare. ______2. As a rule, as a paramedic's use of a skill or procedure decreases: A. the more frequently he should review that skill or procedure. B. his retention of that skill or procedure remains the same. C. the less he needs to practice that skill or procedure. D. it is evidence that the skill or procedure may no longer be necessary. ______3. Providing care at home without transport to a hospital is an example of the extended scope of: A. critical care. B. industrial medicine. C. primary care. D. advanced care. ______4. The paramedic's emerging roles and responsibilities include: A. minor surgery. B. prescribing medications. C. industrial medicine. D. extended pediatric care. ______5. Through research over the years, it has been found that: A. all EMS treatments used have been proven beneficial. B. little scientific evidence supports many prehospital practices. C. all current paramedic practices have been scientifically proven. D. treatments have been scientifically proven effective before they are used in the field. ______6. One member of the in-hospital component of an EMS system is the: A. First Responder. B. EMT. C. paramedic. D. respiratory therapist.

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A ______ emergency response system sends multiple levels of emergency care personnel to a single incident. A. basic B. public utility model C. tiered D. failsafe franchise The ______ defined 10 elements necessary to all EMS systems. A. 1966 National Highway Safety Act B. 1973 Emergency Medical Services Systems Act C. 1981 Consolidated Omnibus Budget Reconciliation Act D. 1988 Statewide EMS Technical Assessment Program State EMS agencies are responsible for all of the following EXCEPT: A. allocating funds to local systems. B. enforcing state EMS regulations. C. developing local quality assurance programs. D. certifying field providers. The responsibility for all clinical and patient-care aspects of an EMS system rests with the: A. senior paramedic. B. system's medical director. C. EMS system director. D. quality assurance committee. A well-designed communications plan for an EMS system should include: A. multiple control centers. B. operational communications capabilities. C. satellite uplinks. D. federally approved medical protocols. The failsafe franchise represents an example of EMS: A. system financing. B. quality improvement. C. communications technology. D. research. The evaluation of objective data such as response times, adherence to protocols, and patient survival is emphasized by: A. hospital categorization. B. QA programs. C. peer reviews. D. research programs. An effective EMS dispatching system aims to place a BLS unit on the scene of an emergency in: A. the "golden hour." B. 14 minutes. C. 8 minutes. D. 4 minutes.

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Training curricula for four levels of prehospital providers have been issued by the: A. American College of Emergency Physicians. B. American College of Surgeons Committee on Trauma. C. Department of Transportation. D. Department of Health, Education, and Welfare. The process by which a governmental agency grants permission to engage in a given occupation to an applicant who has attained the degree of competency required to ensure the public's protection is called: A. registration. B. licensure. C. certification. D. recognition. In 1973, Congress passed an act that made EMS systems eligible for funding if they included 15 components. This act was called the: A. Ryan White Act. B. Emergency Medical Services System Act. C. National Highway Safety Act. D. Statewide EMS Technical Assessment Act. One of the four Ts of emergency care is: A. trauma. B. triage. C. telemetry. D. tactical. Guidelines for permitting a new medication, process, or procedure to be used in EMS are the: A. laws of medicine. B. rules of ethics. C. laws of research. D. rules of evidence. Which is NOT an EMT-I skill? A. patient restraint B. advanced airway management C. advanced cardiac life support D. intravenous fluid therapy EMS has changed dramatically over the past 10 years. Today, paramedic emergency care emphasizes all of the following actions EXCEPT: A. providing competent emergency care. B. prescribing certain medications to patients who are not transported. C. providing emotional support to patients and their families. D. drawing on a strong knowledge of pathophysiology.

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The paramedic's primary responsibilities include: A. community involvement. B. research. C. documentation. D. continuing education. A primary responsibility of the paramedic is returning to service after a call. Aspects of this include: A. reviewing the call with crew members. B. providing the ED staff a copy of your prehospital care report. C. turning the patient over to the hospital staff. D. calling your dispatch center for your run report times. The term used to describe members of health-care professions, apart from physicians and nurses, that includes paramedics, respiratory therapists, and laboratory technicians is: A. ancillary health professions. B. paramedical health professions. C. allied health professions. D. auxiliary health professions. Leadership, integrity, and empathy are a few of the paramedic's professional: A. attitudes. B. attributes. C. duties. D. responsibilities. Completing assigned duties without being asked or told is one example of the professional attribute of: A. self-confidence. B. time management skills. C. careful delivery of service. D. self-motivation. An example of the professional attribute of teamwork and diplomacy is: A. mastering and refreshing skills. B. being supportive and reassuring. C. placing the success of the team ahead of personal selfinterest. D. accepting constructive feedback in a positive manner.